2. Table of Content¶

1. Revision History
2. Audience
3. Remarks
4. Terms and Definitions

4. Implementation Model

5. HL7 Profiling Conventions

6. HL7 Implementation Notes

7. Patient Management Service

7.1. Inbound

7.1.1. Inbound Messages

1.1.1. ADT/ACK - Admit/Visit Notification (Event A01)
1.1.2. ADT/ACK - Transfer a Patient (Event A02)
1.1.3. ADT/ACK - Discharge/End Visit (Event A03)
1.1.4. ADT/ACK - Register a Patient (Event A04)
1.1.5. ADT/ACK - Pre-Admit a Patient (Event A05)
1.1.6. ADT/ACK - Change an Outpatient to an Inpatient (Event A06)
1.1.7. ADT/ACK - Change an Inpatient to an Outpatient (Event A07)
1.1.8. ADT/ACK - Update Patient Information (Event A08)
1.1.9. ADT/ACK - Patient Arriving - Tracking (Event A10)
1.1.10. ADT/ACK - Cancel Admit/Visit Notification (Event A11)
1.1.11. ADT/ACK - Cancel Transfer (Event A12)
1.1.12. ADT/ACK - Cancel Discharge/End Visit  (Event A13)
1.1.13. ADT/ACK - Add Person or Patient Information (Event A28)
1.1.14. ADT/ACK - Update Person Information (Event A31)
1.1.15. ADT/ACK - Cancel Pre-Admit (Event A38)
1.1.16. ADT/ACK - Merge Patient - Patient Identifier List (Event A40)
1.1.17. ADT/ACK - Change Patient Identifier List (Event A47)

7.1.2. Inbound Message Segments

1.2.1. MSH - Message Header segment
1.2.2. PID - Patient Identification segment
1.2.3. NTE - Notes and Comments segment (for PID)
1.2.4. MRG - Merge segment

7.1.3. HL7 ADT to DICOM Mapping

7.1.4. HL7 ADT - Error Mapping

7.2. Outbound

7.2.1. Outbound Messages

2.1.1. ADT/ACK - Add Person or Patient Information (Event A28)
2.1.2. ADT/ACK - Update Person Information (Event A31)
2.1.3. ADT/ACK - Merge Patient - Patient Identifier List (Event A40)
2.1.4. ADT/ACK - Change Patient Identifier List (Event A47)

7.2.2. Outbound Message Segments

2.2.1. MSH - Message Header segment
2.2.2. PID - Patient Identification Segment
2.2.3. NTE - Notes and Comments Segment (for PID)
2.2.4. MRG - Merge Segment

7.2.3. DICOM to HL7 ADT Mapping

8. Procedure Management Service

8.1. Inbound

8.1.1. Inbound Messages

1.1.1. ORM - General Order Message (Event O01)
1.1.2. OMG - General Clinical Order Message (Event O19)
1.1.3. OMI - Imaging Order Message (Event O23)

8.1.2. Inbound Message Segments

1.2.1. MSH - Message Header segment
1.2.2. PID - Patient Identification segment
1.2.3. NTE - Notes and Comments segment (for PID)
1.2.4. PV1 - Patient Visit segment
1.2.5. ORC - Order Control segment
1.2.6. TQ1 - Timing/Quantity segment
1.2.7. OBR - Observation Request segment
1.2.8. NTE - Notes and Comments (for Detail) segment
1.2.9. ZDS - Z segment
1.2.10. IPC - Imaging Procedure Control segment
1.2.11. OBX - Observation / Results segment

8.1.3. HL7 Order to DICOM MWL Mapping

1.3.1. ORM - HL7 order mapping to DICOM Modality Worklist Attributes
1.3.2. OMI - HL7 order mapping to DICOM Modality Worklist Attributes
1.3.3. OMG - HL7 order mapping to DICOM Modality Worklist Attributes

8.1.4. HL7 ORM - Error Mapping

8.2. Outbound

8.2.1. Outbound Messages

8.2.1.1. OMG - General Clinical Order Message (Event O19)

8.2.1.2. OMI - Imaging Order Message (Event O23)

8.2.2. Outbound Message Segments

2.2.1. MSH - Message Header segment
2.2.2. PID - Patient Identification segment
2.2.3. NTE - Notes and Comments segment for (PID)
2.2.4. PV1 - Patient Visit segment
2.2.5. ORC - Order Control segment
2.2.6. TQ1 - Timing/Quantity segment
2.2.7. OBR - Observation Request segment
2.2.8. OBX - Observation / Result segment
2.2.9. IPC - Imaging Procedure Control segment

8.2.3. DICOM to HL7 Order Mapping

2.3.1. OMG - DICOM Modality Worklist Attributes to HL7 order mapping
2.3.2. OMI - DICOM Modality Worklist Attributes to HL7 order mapping
2.3.3. OMG - DICOM Composite Object Attributes to HL7 order mapping
2.3.4. OMI - DICOM Study Attributes to HL7 order mapping
2.3.5. OMG - DICOM Modality Performed Procedure Step Attributes to HL7 order mapping
2.3.6. OMI - DICOM Modality Performed Procedure Step Attributes to HL7 order mapping

9. Observation Reporting Management Service

9.1. Inbound

9.1.1. Inbound Messages

9.1.1.1. ORU - Unsolicited Observation Result Message (Event R01)

9.1.2. Supported Segments

1.2.1. MSH - Message Header segment
1.2.2. PID - Patient Identification segment
1.2.3. NTE - Notes and Comments segment (for PID)
1.2.4. PV1 - Patient Visit segment
1.2.5. OBR - Observation Request segment
1.2.6. OBX - Observation Request segment

9.1.3. HL7 ORU to DICOM Mapping

9.1.3.1. HL7 ORU Text Report to DICOM SR Mapping (RAD-28)

9.1.3.1.1. Mapping of HL7 ORU Text Report to DICOM SR Attributes

9.1.3.2. HL7 ORU Report to DICOM Mapping (RAD-128)

1.3.2.1. Mapping of HL7 ORU Text Report to DICOM SR Attributes
1.3.2.2. Mapping of HL7 ORU containing CDA to Encapsulated CDA DICOM SR Attributes
1.3.2.3. Mapping of HL7 ORU containing PDF to Encapsulated PDF DICOM Attributes

9.1.4. HL7 ORU - Error Mapping

9.2. Outbound

9.2.1. Outbound Messages

9.2.1.1. ORU - Unsolicited Observation Message (Event R01)

9.2.2. Outbound Message Segments

2.2.1. MSH - Message Header segment
2.2.2. PID - Patient Identification segment
2.2.3. NTE - Notes and Comments segment for (PID)
2.2.4. PV1 - Patient Visit segment
2.2.5. ORC - Order Control segment
2.2.6. TQ1 - Timing/Quantity segment
2.2.7. OBR - Observation Request segment
2.2.8. OBX - Observation Result segment

9.2.3. DICOM to HL7 Unsolicited Observation Message Mapping

9.2.3.1. ORU - DICOM Image Attributes to HL7 Unsolicited Observation Message mapping

10. Appointment Notification

10.1. Inbound

10.1.1. Inbound Messages

1.1.1. SIU/ACK - Notification of new appointment booking (Event S12)
1.1.2. SIU/ACK - Notification of appointment rescheduling (Event S13)
1.1.3. SIU/ACK - Notification of appointment cancellation (Event S15)

11. Patient Demographics Query Service

11.1. Outbound

11.1.1. Outbound Message

11.1.1.1. QBP - Query by Parameter Message (Event Q22)

11.1.2. Outbound Message Segments

1.2.1. MSH - Message Header segment
1.2.2. QPD - Query Parameter Definition segment
1.2.3. RCP - Response Control Parameter segment

11.2.3. DICOM to HL7 Query by Parameter Message Mapping

11.2.3.1. QBP - DICOM Patient Attributes to HL7 Query by Parameter Message mapping

12. HL7 Notification Service

12.1. Outbound

13. HL7 Forward Service

14. HL7 Export Studies Service

15. HL7 Studies Prefetch Service

16. HL7 Studies Lifecycle Management

17. HL7 Unified Worklist Service

18. Security

18.1 Security Profiles

18.1.1. Secure Transport Connection Profiles

18.1.2. Audit Trail Profiles

18.2 Association Level Security